Active NPI
Megan Elizabeth Jablonski, PH.D.
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1538564364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYPST00074565
- Practice address
- 220 Abraham Flexner Way
6TH Floor - Psychology Department
Louisville, KY 40202-3826 - Phone
- (502) 582-7484
- Fax
- (502) 582-7646
- NPI assigned
- Oct 22, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYPST00074565 | KY | Primary |
Addresses
Primary practice location
220 Abraham Flexner Way
6TH Floor - Psychology Department
Louisville, KY 40202-3826
Mailing address
100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 582-7484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201319500A (KOHMG) | Medicaid | IN | |
| 7100370730 (KOHMG) | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYPST00074565 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1538564364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LIBERTY ST STE 800",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021428",
"telephone_number": "502-582-7484",
"fax_number": "502-582-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ABRAHAM FLEXNER WAY",
"address_2": "6TH FLOOR - PSYCHOLOGY DEPARTMENT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023826",
"telephone_number": "502-582-7484",
"fax_number": "502-582-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLONSKI",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "PSYPST00074565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201319500A (KOHMG)",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100370730 (KOHMG)",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.